开封市社会医疗保险参保人员流行性感冒疫苗接种效果  

Effect of Influenza vaccination among people with social medical insurance in Kaifeng City

作　　者：陆寒[1] 孙龙[1] 黄昌红[1] 丁帅[1] 

机构地区：[1]河南省开封市疾病预防控制中心免疫规划科,475004

出　　处：《职业与健康》2012年第23期2953-2954,共2页Occupation and Health

摘　　要：目的了解社会医疗保险参保人员接种流行性感冒(流感)疫苗后的人群预防效果。方法选择开封市7 000名符合要求的参加医疗保险人员作为对象,用随机抽样方法,抽取2 626人,进行问卷调查。采用历史性队列研究方法,对接种组和对照组进行回顾性调查。结果流感疫苗接种后与接种前相比,年人均感冒发病次数降低1.92次,降低了64.43%(P﹤0.01);接种流感疫苗比未种人群年人均发病次数降低0.95次,降低了47.26%(P﹤0.01);差异均有统计学意义接种过流感疫苗者明显比未接种流感疫苗者所花费的药物治疗费用要低;接种疫苗后,出现发热等一般反应的占7.17%,轻度过敏反应的占1.81%。结论接种流感疫苗是目前预防流感安全有效的措施,对该市参保的人员具有较高的成本效益。[Objective]To evaluate the effect of influenza vaccination among people with social medical insurance.[Methods]2 626 people were sampled from 7 000 people with social medical insurance in Kaifeng City by random sampling,and were investigated by a questionnaire.With the historical cohort study,the vaccination group and the control group were analyzed retrospectively.[Results]The annual per capita incidence of influenza after vaccination decreased by 1.92（64.43%） as compared with that before vaccination,and the difference was significant（P0.01）.The annual per capita incidence of influenza in the vaccination group decreased by 0.95（47.26%） as compared with that in the control group（P0.01）.The treatment cost of the vaccination group was less than that of the control group.After vaccination,the incidence of general reaction（fever） was 7.17%,and the incidence of mild allergy was 1.81%.[Conclusion]The influenza vaccination is the safe and effective measure to prevent influenza at present,which has gained better cost-benefit among social medical insurance population.

关 键 词：流感疫苗 预防效果 社会医疗保险 

分 类 号：R511.1[医药卫生—内科学]